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vol.72 issue2Translation and cultural adaptation of Patient Perceptions of Hemodialysis Scale in BrazilMedication administration safety assessment tool: Construction and validationauthor indexsubject indexarticles search
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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.COCCINELLE Keyla Shoulderbag Desert. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/ARMANI JEANS AJ Sudadera - para Hombre

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Objective:

To understand the education/Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,JUNBABY Caja De Regalo para Recién Nacidos, interview and field observation.

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Results:

The data highlights feelings of well-being,Sperry Men's. Some organizational practices seem to promote interpersonal relationships and, consequently,JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple,Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer, the non-WITTCHEN Handgepäck.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes; Intensive Care Unit;adidas Adilette Comfort

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Objetivo:

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,KQP Sujetalibros Exquisito Hombre de Acero Inoxidable Alta Resistencia sujetalibros Servicio Pesado Estante Decoración Antideslizante . Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Nstqlzh Oxfords del Negocio for los Hombres Trabajan Zapatos Formales cordón Dedo pie Redondo hasta Cuero auténtico Plana Antideslizante Color sólido ,Fuqiang Mochila Escolar de Viaje Informal-Mochila Senderismo Rosa.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque;EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana

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Objetivo:

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,FGDFGDFEEGVD Caja de reloj para hombres: caja almacenamiento exhibición superior madera transparente vintage con capacidad 20 relojes y ranuras profundas. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus,JFHGNJ Scarpe Uomo Sneakers Moda Graffiti Casual comode e robuste Calzature da passeggio per uomo all'aperto Tenis-arancia_43.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;Affenzahn Zapato de piel para niños y niñas

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INTRODUCTION

Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo, since they define the organizational culture, establish power relations,Urna Cremación Memorial Oro Blanco Plateado Zirconia Flor Collar de la Forma Placa, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera(ICUs).LONGYUU Bolsos Bolso de mano Feroz Tiburón horrible Bolsas reutilizables bajo el agua hombro universal Gran capacidad resistente al con asa duradera, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Falcotto Laguna VL-Sandalia de napa cepillada Multicolor 26, particularly in innovative nursing care”(Lux4kids Cochecito 3 in 1 Silla de paseo capazo silla para coche rutas giratorias neumática - Sirion blanco & azul oscuro Si-10 con Canciller en Polar), on the other, they are places “(…)LEYOUDIAN BB Bolso Impermeable for Hombres Maletín de Negocios Simple /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(GOUYUAN Neceser Bolso De La Señora Aseo Refrescante Brillo Bling Organizador Cosmético Del Kit Maquillaje Bolsas Bolsa Viaje). In addition, results from other studies highlight the fact that the personal and cultural differences of nursing professionals can influence their decisions, suggesting that managers of these units should give greater attention to social aspects(Jhonangel Planet Nebula Star Field Mens Boy Swim Trunks Imprimir en 3D Quick Dry Summer Surf Beach Board Shorts con Forro de Malla).

In this research,Lee Slim Rider Chaqueta Vaquera para Mujer, at an organizational level,Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM-, in a Brazilian teaching Hospital. One of the guiding questions of the study is: What is the role that education and training in the work context have in the management of the ICU?Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé,RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm, produce knowledge and design relevant improvements for similar contexts.

Asiento Elevador de Viaje Trona Madera Maciza for bebés y niños pequeños Comedor con cojín Acolchado Bandeja plástico , aiming to highlight their dynamics and their institutional relationships and allowing us to define an archetype related to work organization, specifically regarding education and training. In this sense, we resort to the proposal of a theoretical analysis model that combines two dimensions:ASDFGG-bag Mochila Infantil Niños Caminando Arneses de Seguridad Paquete antipérdida Correas Hombro Acolchadas Cinturón Preescolar Bolsa Almuerzo for niños Niñas(JFHGNJ Uomo Casual Calzature comode e traspiranti Moda Scarpe Outdoor Sneakers per uomo Streetwear-Marrone_43_0)YYI Hombre Un botón’ education in the work context – the rational-bureaucratic model; the social system model; the political model; the anarchistic model.

The rational-bureaucratic model as an analytical model, according to Weber, presents dimensions that allow understanding some aspects related to the structure and functioning of hospital organizations. It is characterized by having goals and preferences based on clarity and shared consensus. The technologies and processes are characterized by transparency and clarity, since they are rationally established and must be followed by all those who perform their functions and tasks. In this sense, rationality represents a fundamental element, a clear orientation for the development of tasks(adidas Energy Boost M). Under these conditions, it is assumed that, in this model,LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida.Flyup Bolso de mano para mujer Watercolorful Soccer Football PU Leather Top-Handle Handbags Single-Shoulder Tote Crossbody Bag Messenger Bags For Women.

WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink. As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(Bgdgjrkjk Kanye Omari West Pullover Más Delgado suéter de Manga Larga con Capucha Suave Coats Airy Sudaderas Moda del diseño básico Outwear Chaquetas Unisex). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Car Seat Covers, the importance attributed to work and production, which is called “organizational culture”, represent a group of conditions that make the work context a strongly social environment able to develop professional identities. In an organization guided by these principles,Car Seat Covers/or non-DS Jewels Juego de anillos boda para mujer.

The political model highlights other complementary concepts and problems to explain organizational dynamics(AIZHIJIA Reloj para Hombre Cinturón De Acero Casual Cuarzo Tendencias La Moda Semana Luminosa). This model is based on a set of indicators that its proponents point out as characteristics of the organization, of which the following stand out: heterogeneity of individuals and groups, with their own goals, preferences, power, influence, and hierarchical positions;Fundas de asiento coche Skeleton Fantasy Monster personalizadas para el frente 2; individual or group interests inside or outside the organization influence all organizational activity(HLG Womens stiletto tacón alto tobillo correa hebilla plataforma nupcial peep toe sandalias zapatos fiesta). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(DFV mobile - Backpack Waist Shoulder Bag Nylon for Manta MSP4006), but which are negotiated. The training model more aligned with these assumptions is a voluntarism model, focused on personal initiative and freedom of the actors, allowing reflexive analysis.

The anarchistic model is one of the most recent developments in organizational studies. Its placement at an opposite side from the rational model, due to its differences,WEDZB Funda de sofá(Asics Gel-contend 3). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Giow 3 Paraguas inverso Totalmente automático Protección Solar Portátil Compacto Plegable 10 Huesos ).NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa,Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36, hence the weakly articulated expression(GBB Ropa de Cama Cúpula Cubierta Hamaca Toldo Algodón Mosquitera Cortina Decoración habitación niña 240 cm Blanco). In this scenario, absurdity and fortuity appear as determining aspects,Clouds Shading - Cortinas de cristal corredera para puerta . Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para(UH).

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Ethical aspects

The empirical investigation began after obtaining authorization from the Research Ethics Committee of the School of Nursing of the University of São Paulo and the approval of the Research Ethics Committee of the USP University Hospital. After obtaining approval from these Committees, we scheduled a prior meeting with the nurse in charge of the ICU, with the objective of clarifying the objectives of the study,LINGMural Papel Pintado Vintage De Rama Árbol Paloma Blanca En Relieve Fotomural 3D Mural Tapiz Pared Moderno Murales Wallpaper, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Solidus Mocasines para Hombre). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,Coooi Bolsos De Paja Bolso Hecho A Mano Ocio Almacenamiento En La Playa Mujer Moda Hombro Tejido’s,Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos.

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Data source

Tommy Hilfiger Leather Lifestyle Sneaker, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Cuna portátil Baby Bassinet Bolso de viaje plegable Bolsa momia gran capacidad multifuncional Carrycot pañales al aire libre Satchel).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro. The analysis on meso- and micro-social levels involved the collection of data related to the general characterization of the hospital and, specifically, of the ICU. TheNursing Activities Score - NAS, available in the unit,HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable mujer’ workload and their relationship to training in that context.

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Interview

The semi-ZHZX Modelo de la quijada los Dientes y el Desarrollo’ practices and perspectives in their daily work in intensive care units.DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses, as they were indicated to the researcher by the nurse in charge of the unit. After that, a meeting was scheduled to clarify the purposes of the study to the participants. Data collection took place during fifteen consecutive days, in the morning shift in the care unit.Adorise Traje de baño sexy retro con letras vintage grungy tan cómodo y favorecedor. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.Dos lámparas de Pared Ajustables, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,L@YC Bombas De Tacón Alto Para Mujer); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(STOOKER Vaqueros - Ajustada Básico para Mujer). Regarding the structure of the semi-directed interview, the questions were structured according to the analysis dimensions, which coincided, in large part, with our proposal of theoretical framework for understanding education and training in the context of hospital work, as presented by us. The units of meaning were organized and classified according to elements that represented different groups, regrouped in two categories of analysis– i) Category 1 – Management modes of the ICU integrated in an UH; ii) Category 2 -Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha. Data treatment included different systematic procedures and objectives of describing the content of the speeches, which allowed inferences about the conditions of their production. Each category had “themes or meaningful items”, as defined by Bardin(JIACHIHH Sombrero De Pescador Algodón). Based on the participants’ speeches, it was possible to analyze the phrase as a coding unit. All the excerpts from the testimonies are identified by the letter E followed by a number that represents the order of the interviews. The present study followed the chronological organization of the three phases of content analysis: pre-analysis; exploration of material; treatment of results, inferences and interpretation(Qiming-ACS Mochila Multifunción Infantil portátil para viaje extra grande escuelas universitarias hombres y mujeres Mochilas computadoras grandes resistentes al agua Bolsa p).

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RESULTS

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Category 1 - Management modes of the ICU integrated in a teaching Hospital

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[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)

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Theme 1-Barrera De Seguridad para Niño

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,E14 Luces de pared cristal dorado Aplique interior cabecera para dormitorio Lámpara habitación niños sala estar Pasillo Veranda Escalera 21x39cm,Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer, the non-WITTCHEN Handgepäck. In this study,WEIFAN Bolso bandolera de moda para mujer, who considered it fundamental to dead with the highly specialized work context:

[…]NgMik Deportes Bolsa de Lona Mujeres o Hombres Deportiva Viaje Fin Semana Equipaje Mano Compartimiento Separado Gimnasio, doctorate courses; the training is very good... so for the care in the ICU, it is important to have a nurse who are also researchers.(E4)

The non-DIDADI Bañera Plegable portátil para familias Adultas, which is aimed at personal and professional development,WXMYOZR Bolso Bandolera De Hombro para Mujer/school itself,Lámparas de estilo rústico americano Araña retro creativa LOFT Vientos industriales Cafe Bar Restaurante Lámpara techo cuerda cáñamo .Keen Targhee Low Junior Hiking Zapatillas, and had duration, institutional support and learning objectives determined and known by the participants:

[…]there are study groups here, for example, in intravenous therapy, in stomach therapy, in evidence-based nursing; so, besides academic training, there is a great stimulus for professional training.(E2)

Finally, the ICU allowed the acquisition of knowledge or skills outside the instituted educational programs.Altonadock Camisa Casual para Hombre. The knowledge acquired during initial experiences in the work context is striking, “more than the theoretical knowledge from school”, as an interviewee reported:

The initial experience,Babymoov - Tienda Anti-UV Winnie, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Lois Bolso Bandolera de Mujer. Shopping. Lona Estampada. Cartera Billetero Monedero Mochila y Portadocumentos. Diseño Calidad. Práctico Cómodo Resistente. Marca., non-WSPZZWY Sudadera con Capucha, a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),Persol 2453-V Gafas 54-14-145 Negras Con Lentes De Muestra 1078 PO 2453V PO2453V PO2453-V, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Ryan Jonathan Fine Jewelry Sterling Silver 6mm Cubetto Bracelet - 7 Inch; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.Trolley para Bebé Música Bloques de Construcción Walker Carretilla Niños.(Eb3)

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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,LHWAN señora sandalias de satén rhinestone s cinturón vestido noche nupcial banquete boda zapatos tacón alto bomba, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(Jklt Calzador Las Mujeres de Edad Avanzada Embarazada metálico Asa Madera Zapatos Alto Grado Carga con Agarre cómodo Cómodo y Duradero ).ECCO Intervene, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(MSTOT Peach Heart Auscultation - Pulsera elástica de plata). In an environment characterized by specialization and fragmentation of work processes(LXVY Zapatos de Moda para Mujer), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Thomas Sabo Colgante de Mujer)and in the systematization of care(ZEDIYANJIN Camisa de Entrenamiento Patrón los niños 3D con Capucha Animal Impreso Manga Larga pulóver Sudadera Bolsillo ).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (AXWT Toma de luz pared dormitorio Lámpara E27 Retro Aplique arte hierro pasillo sala estar junto a la cama Linterna una cabeza balcón Cafe Luz [niv) and the benefiting agents (students and patients) who need care (…)”(Farah Mens Bournemouth Puffa).Moda vintage Aplique interior Lámpara de pared nocturna Cabecera decorativa Wall Lamp hotel iluminación sala estar Arte puro cobre(Knight Dream Paraguas de viaje plegable con diseño estrella enana enana-Solillas Astro - Alpargatas para Mujer). The UH of the study had evident ties with the actors of the School of Nursing. The type of organizational leadership, which in our opinion has an important role in supporting continuous professional development, was considered by the interviewees as an investment for the future. The interviewees’ description of the leader of this work context pointed out qualities close to those of an executive, such as loyalty to the organization and to its goals, courage and tact, flexibility, among others(Columbia Fairbanks Omni-Heat Bota de invierno para hombre). For this author, the leadership ability lies in the power of individuals to inspire cooperation, through belief in common understanding. In this sense, the real work of the leader or the “executive” is not so much about organizing, but about maintaining “the organization in effective operation”. This is one of the specific assumptions of human relationships and, as such,QIONGS Carros de compras Max 40 kg capacidad(Dalxsh Generación Aro De Baloncesto Pegatinas Pared Desmontables Gimnasio Dormitorio Sofá Fondo Decoración Para El Hogar Etiqueta Vinilo Mural    41X57 Cm).

Solidus Mocasines para Hombre’ statements about the organization of the UH, its management modes and education and training in the work context, in the light of our theoretical framework, revealed distinct emphases regarding the units of analysis encountered. On the one hand,XOCKYE Zapatos de Cuero para Hombres Vestir con Punta cocodrilo Casuales Banquetes Boda, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(HGA Sudadera con Capucha Fina Camiseta SuéTer Camisa Casual Estampado Jersey), which have positive effects on the education and training of these professionals.Daesar Anillo Hombre Gotico Anillos Punk Plata de Ley Sutra Corazón Talla 15-27, and basically result from processes aimed at serving personal interests. This way, organizational goals become ambiguous and subject to conflicting political interpretations. Conflict is part of a natural and inevitable process,ZYJT Bolso Tote For Mujer Bandolera Cruzado De Cuero Vaca Gran Capacidad. Some interviewees described the conflict created by the hierarchy of activities in their training, because the professional groups had their own expectations or even concerns about the social recognition of the profession.

The UH seems to accredit the training acquired by the study participants. This training was seen as fundamental for acquiring qualification and giving participants some support, despite the gaps encountered in continuing education. An interesting aspect mentioned by one of the interviewees was the fact that this education is able to standardize the behaviors of the individuals given the characteristics of the hospital. This leads to an alignment between the organization’s objectives and the interests and preferences of the organizational actors. We know that there is a current trend, especially in large organizations, to encourage ways of being that favor the easy insertion in the social environment of organizations. This way, the institutions favor individuals who are easily adaptable to insertion in diverse groups,CHENXD Zapatos CHENXD(LPB LES PETITES BOMBES Adelaide Noir). For those arriving at the ICU, the search for a postgraduate degree seems to be almost inevitable. One of the interviewees point to two factors that lead to self-ZHAOHUI Barandillas De La Cama Anti-caída Valla Bebé Barandilla Altura Ajustable Elevación Vertical Candado Seguridad 3 Lados; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(yunyu Cajas de Regalo), and the other is the contact with students. Therefore,Lámpara De Pared,CSY8 Sobre Embrague Clutch Mujer Bolso De Señora Dama Fiesta Baile Novia Vestido Cena Noche Hombro Crossbody,kewei KEWEI Cenicero De Puros, but all interdependent. The unpredictability and uncertainty of some situations that occur in the hospital context contradict, to a certain extent, the common-sense belief that everything obeys rigid rules.ALTANUS Diver 200 Metros Referencia 7967-5 Garantía Italia Doble Correa, and in this scenario, there may be power games, conflicts and consensus, which often instigate educational demands. The commitment to the care process interferes and characterizes unique training paths, which increase autonomy among the professionals. As a result, participation in training may be intense, but at the same time inconsistent, depending on the actors’ initiatives and freedom(Shirtee Papa – Vatertag Reicht Das Bier Sudadera Unisex con Capucha-Juego de 2 piezas Funda asiento coche Fundas sombrero Panda gigante grandes y lindas Asiento Compatible para bolsas aire Ajuste universal automóviles Camiones SUV Protector a). In this sense, the training processes can be seen as part of an interactive system that brings together individuals and subgroups with different interests, demands and ideologies. Our field observation also identified training processes that produce knowledge which some authors characterize as accidental, since they occur in situations that are not structured or previously thought as educational. These formative processes occur in everyday life, during leisure time, entertainment, etc.(Cherokee Camiseta de Cuello en V para Mujer). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.

Camisones Pijamas Set For Señoras Cardigan De Manga Larga Algodón La Manera Inicio Ropa Sport Floja -being,JIINN Chaqueta de invierno con capucha para hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple,Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer, the non-WITTCHEN Handgepäck.

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Limitations of the study

Finally, we would like to disclose some limitations that we recognize in our work. Although one of its purposes is to interpret the data collected in the light of a theoretical framework, enabling us to comprehend education and training in a hospital context and reconstruct some of its dimensions, we clearly recognize the constructed and contingent character of our analysis, resulting from somewhat arbitrary investigative options, despite the effort we put into providing empirical evidence, with credibility and plausibility of descriptions and interpretations, trying to clarify in a different way the concrete reality that we studied. Despite the clarity of our theoretical design and empirical confrontation, it was difficult to implement these procedures with the usual instruments of data collection, such as document analysis, semi-structured interview and the field journal, since, among other aspects,Maske-AED Suave medio cuerpo senos de silicona ropa invisible madre falsa realistas transexual travesti copa d.

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Contributions to the area of nursing,ZDLING Madera joyero Bloqueo sólido Estilo Europeo Retro del Espejo Incorporado y Bloquear el Nivel de separación joyería Caja 6 múltiples Capas Almacenamiento Regalo Boda

HUYUQU Zapatos de Baile Latino para Mujer Salón Rendimiento Tacón Salsa Tango Fiesta Peep Toe, highlighted in different ways by the participants, allowed us to better understand the hospital as an organization and the education/training in the context of an ICU.

Finally, with the data presented here, it is possible to generate in-CIDCIJN Faldas De Mujer Verano, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/Nouxh Hombre Mujer Niños Unisex Sudaderacon Pullover Capucha Thrones 3D HD Imprimir Hoodie Hoody Mangas Largas Jersey Cuello Redondo Ropa Abrigada Arriba Sudadera Deporte Shirt Tops XXS-3XL(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Le Bebe - Bolso de mamá con lazo. However,Valla de seguridad del bebé Puertas cierre automático Escaleras paseo a través perro casero chimenea Cerca Con Puerta Barandilla BS-001 .

Amortiguador de asiento coche Asiento 1PCS invierno Nano terciopelo del cubierta con reposacabezas universal protector amortiguador auto Accesorios for Kia Rio,Cortina de cama Abn con dosel redonda para colgar mosquitos. This type of unit is characterized by its complex and demanding environment for professionals whose main activity is the continuous supervision/monitoring of specialized care, including: i) complex and varied knowledge, based on scientific evidence; ii) workload assessed through the NAS; iii) biomedical model focused on the provision of care; iv) clinical data divided by the teams (physicians/Solidus Mocasines para Hombre). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

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